HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / `r Permit Number. O / •C
RECEIVE®
Building Permit Application DEC - 5 2018
Planning and Development Services Permitting a artment
Building and Code Regulation Division g p
2300VirginiaAvenue,FortPierceFL34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT.:LOCATION.°°
Address: I f j
Legal Description:
Property Tax ID p: I�{ ILI ��l rI t" ( aw 4p bI.A IVCU Lot No.
Site Plan Name: Il Brie C( nYMI� Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
�rl)C)M Vm od-e,9 a she VO1 v�eS
CONST,RUCTION<INFORMATIC!N:
r{uuuwnai wurK w ue enurrneu unuer ims permit—cnecK an appiy:
EIHVAC U as Tank Gas Piping _ Shutters
Electric 1 Plumbing []Sprint
Total Sq. Ftiof Construction:' 1 'r
Cost of Construction: $
T
2rs 0 Generator
S Ft. of First Floor:
Utilities: Sewer D Septic.
ElWindows/Doors
Roof Roof pitch
Building Height:
OCONTRACfOR
Name ��.,A
Name:
2
Address: ✓1 QURjanS
Company: I owe's ov,(SOT`
City: VA-yt Lexr-?i
Zip Code: 5q"� f- Fax
Phone No. fb52 9153
State:
Address: o�
�o
City: urp
Zip Code: 3 Fax:
Phone No.
State:_
- 3<Ql l
E-Mail:
Fill in fee simple Title Holder an next page ( if different
from the Owner listed above)
E-Mail: 5 eoSt �S'
State or County License:
it value or construction is >zsuu or more, a KhcuKutu Notice or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with an applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult au
your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendme s.
The following building permit applications are exempt from undergoing a full concurrency revi : r am additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses o ano er non-residential use
WARNING TO ASYP
R: Your ur to Record a Notice of Commencement ma result your pa ing twice for
improvements r prop . A otce of Commencement must be rec rded a d post o the jobsite
before the firsttion. you intend to obtain financing, consuls(with ender o an a me before
_ Signature of ner/ Lessee/Agent Signature otFRIDA
tractor/License Harder
STATE OFFLI!DA STATE OCOUNTY OF COUNTY ANGE
The f going i ck�no�wledged,gefare me The f oin umentwa acknowledged eforeme
this , dayX ' 20 Lb he this 7 d . 20 V by
FARO III PETER A GAFAA0III
person acknow edging) (Name of person ac
(SlgnatUM of Notary Public- State bf Florida ) v (Signature o5Notary Public- State of Fl6rida $
Personally Known x OR Produced Identification _ Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF saiwF Val— Commission No. FF se t_ .. _
OS/ 1 i/2014
FRONT TURTANGRO
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